Eligibility Specialist

2 days ago


Montebello, United States AltaMed Health Services Full time
Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day.

Job Overview

The Eligibility Specialist- IPA Operations is primarily responsible for ensuring the timely inload, processing and reconciliation of the Monthly. Bi-Monthly, Weekly, Daily Health Plan Eligibility Data files received from AltaMed contracted health plans. This position also includes reconciliation of member data discrepancy reports, working on claims and authorization queues and assisting with the Eligibility phone queues as required.

Minimum Requirements:
1. High School Diploma or equivalent required.
2. Minimum of 4 years' experience of Health Plan Eligibility Data Inload Processing and Reconciliation.
3. Minimum 3 years' experience of Health Plan Eligibility Data Verification.
4. EZCAP, EZNET, Eligibility Manager and Datatug Program experience preferred but not required.

Compensation

$24.00 - $28.15 hourly

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development
  • Medical, Dental and Vision insurance
  • 403(b) Retirement savings plans with employer matching contributions
  • Flexible Spending Accounts
  • Commuter Flexible Spending
  • Career Advancement & Development opportunities
  • Paid Time Off & Holidays
  • Paid CME Days
  • Malpractice insurance and tail coverage
  • Tuition Reimbursement Program
  • Corporate Employee Discounts
  • Employee Referral Bonus Program
  • Pet Care Insurance


Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

  • Montebello, California, United States AltaMed Health Services Full time

    Job Title: Enrollment Specialist IAt AltaMed Health Services, we are committed to providing exceptional care to our communities. As an Enrollment Specialist I, you will play a vital role in ensuring that our patients receive the best possible care by assisting with the eligibility, intake, and enrollment process.Key Responsibilities:Assist with the...


  • Montebello, California, United States AltaMed Health Services Full time

    Embrace Your Purpose. Make a Difference. At AltaMed Health Services, we are deeply integrated into the communities we serve. Our commitment to delivering exceptional care transcends traditional expectations of community clinics. We believe that quality healthcare is a fundamental right, and we strive to provide it amidst any challenges we face. This role is...


  • Montebello, California, United States AltaMed Health Services Full time

    Embrace Your Purpose. Serve with Passion. At AltaMed Health Services, we are deeply embedded in the communities we serve. Our commitment to elevating the standards of community healthcare is unwavering, as we believe that quality medical services should be accessible to all. This role transcends mere employment; it is a vital mission that drives us forward....


  • Montebello, California, United States AltaMed Health Services Full time

    Work with Purpose. Live with Passion. At AltaMed, we are deeply integrated into the communities we serve. Our commitment to elevating the standards of community healthcare is unwavering, as we believe that quality medical services should be accessible to all. This is more than just a profession; it is our life's mission that drives us to overcome obstacles...


  • Montebello, United States AltaMed Health Services Full time

    Work Boldly. Live Brilliantly. At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It's the calling of our lives and it compels...


  • Montebello, California, United States InsideHigherEd Full time

    Job SummaryWe are seeking a highly qualified and experienced Pediatric Gastroenterology Specialist to join our team as a Clinical Professor of Pediatrics in the Health Sciences faculty series.Key ResponsibilitiesProvide high-quality patient care and clinical services in Pediatric Gastroenterology, Hepatology, and Nutrition.Teach and mentor students,...


  • Montebello, United States Covenant Physician Partners Full time

    Covenant Physician Partners is hiring a Fulltime Patient Services Specialist to join our team at The De La Pena Eye Clinic located in Montebello, CA. Please note the pay range for this position is $18-$21/hr. About the Opportunity Working Monday through Friday, 8:00 am to 5:00 pm, you have the opportunity to join a multi-site, multispecialty, state of the...


  • Montebello, California, United States North American Staffing Group Full time

    Job OverviewPosition Type: Direct HireLocation: Hybrid after initial trainingHourly Rate: $24 - $30 based on experienceAvailable Schedules: 6AM - 3PM, 7AM - 4PM, 8AM - 5PMJob ResponsibilitiesA Claims Assessment Specialist plays a crucial role in the evaluation and adjudication of medical claims within the managed care framework. This position...


  • Montebello, United States AltaMed Health Services Full time

    Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By...


  • Montebello, United States Vaco Full time

    Vaco is looking for a diligent and detail-oriented Accounts Receivable Specialist to join a finance team. The Accounts Receivable Specialist will be responsible for managing incoming payments, processing invoices, and ensuring accurate financial records. This role requires strong analytical skills, attention to detail, and the ability to work effectively in...

  • Payroll Specialist

    3 weeks ago


    Montebello, California, United States Vaco Full time

    Job SummaryVaco is seeking a skilled and detail-oriented Payroll Specialist to join our dynamic team. The successful candidate will be responsible for processing payroll accurately and on time, ensuring compliance with federal, state, and local regulations.Key Responsibilities:Payroll Processing:Process bi-weekly, semi-monthly, and monthly payrolls for all...


  • Montebello, California, United States Montebello Unified School District Full time

    Salary : $61, $80,363.52 Annually Location : Montebello and Bell Gardens, CA Job Type: Full-Time Permanent Job Number: VMT-VM Department: Transportation POSITION INFORMATION This recruitment is aimed at establishing an eligibility list for current and future job openings. Candidates must provide proof of all necessary documents to be considered for the...


  • Montebello, California, United States Covenant Physician Partners Full time

    {"title": "Patient Services Specialist", "description": "About the OpportunityCovenant Physician Partners is seeking a skilled Patient Services Specialist to provide exceptional patient care and support in our multi-site, multispecialty clinic. As a key member of our team, you will be responsible for delivering outstanding customer service, ensuring seamless...


  • Montebello, California, United States North American Staffing Group Full time

    Job OverviewPosition Type: Direct HireLocation: Montebello, CA (Hybrid after initial training onsite is completed)Hourly Rate: $24 - $30/HR based on experienceAvailable Schedules: 6AM - 3PM, 7AM - 4PM, 8AM - 5PMKey ResponsibilitiesEvaluate and adjudicate medical claims in accordance with managed care protocols.Conduct payment reconciliations and adjustments...


  • Montebello, California, United States North American Staffing Group Full time

    Job OverviewNorth American Staffing Group is excited to offer a remarkable opportunity for a dedicated Claims Auditor within a prominent healthcare organization. We are seeking an individual with a strong background in claims management, particularly those with at least 3 years of relevant experience. This role is ideal for candidates who demonstrate high...


  • Montebello, California, United States North American Staffing Group Full time

    Job OverviewNorth American Staffing Group is excited to offer a fantastic opportunity for a talented Claims Auditor to become part of a reputable healthcare organization. This role is essential for ensuring the accuracy and integrity of claims processing within the organization. The ideal candidate will have a minimum of 3 years of experience in claims...


  • Montebello, California, United States North American Staffing Group Full time

    Job OverviewNorth American Staffing Group is excited to offer a direct-hire position for a proficient Claims Auditor. Our client, a well-regarded healthcare organization, is seeking an individual with a strong background in claims management. Candidates should have at least 3 years of relevant experience, a proactive attitude, and outstanding organizational...


  • Montebello, California, United States Triage Staffing Full time

    Job DetailsTriage Staffing is seeking a travel Physical Therapist for a travel job in a major California city.Job Requirements:Specialty: Physical TherapistDiscipline: Therapy40 hours per weekShift: 8 hours, daysEmployment Type: TravelJob Benefits:Competitive, custom pay packagesOne point of contact for both travelers and facilitiesA reliable recruiter who's...


  • Montebello, California, United States North American Staffing Group Full time

    Job OverviewPosition Type: Direct HireLocation: Montebello, CA (Hybrid after initial training onsite is completed)Hourly Rate: $24 - $30/HR based on experienceAvailable Schedules: 6AM - 3PM, 7AM - 4PM, 8AM - 5PMJob ResponsibilitiesEvaluate and adjudicate medical claims in accordance with managed care protocols.Conduct payment reconciliations and adjustments...


  • Montebello, California, United States Adecco US, Inc. Full time

    Job SummaryAdecco US, Inc. is seeking a skilled Assembler to join our team in a dynamic production environment. As an Assembler, you will play a critical role in ensuring the efficient assembly of electromechanical components, including valves and motors, and harnesses.Key ResponsibilitiesAssemble electromechanical components, including valves and motors,...